Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/23/2025 10:49:35 PM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 01919
815 N. FRONT ST.
PHILIPSBURG, PA 16866

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CAH391312-00	BROOKVILLE HOSPITAL		Critical Access Hospital	100 HOSPITAL ROAD		BROOKVILLE	PA	07/01/2020		7/1/2020 12:01 AM
Details	DSH390048	GEISINGER LEWISTOWN HOSPITAL		Disproportionate Share Hospital	400 HIGHLAND AVENUE		LEWISTOWN	PA	01/01/2022	04/01/2022	4/1/2022 12:01 AM
Details	DSH390048	GEISINGER LEWISTOWN HOSPITAL		Disproportionate Share Hospital	400 HIGHLAND AVENUE		LEWISTOWN	PA	01/01/2025		1/1/2025 12:01 AM
Details	DSH390086	DUBOIS REGIONAL MEDICAL CENTER	dba Penn Highlands DuBois	Disproportionate Share Hospital	100 HOSPITAL AVENUE		DUBOIS	PA	10/01/2016		4/26/2017 12:47 PM
Details	SCH390048-00	GEISINGER LEWISTOWN HOSPITAL		Sole Community Hospital	400 HIGHLAND AVENUE		LEWISTOWN	PA	04/14/2022	01/01/2025	1/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:04 PM
Details	Is Deleted	Insert			False	3/28/2013 4:04 PM
Addresses	Pharmacy Address	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01919 815 N. FRONT ST. PHILIPSBURG, PA 16866	3/28/2013 4:04 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:04 PM